聚焦解决模式结合心理疏导对股骨骨折患者心理健康与术后康复效果的影响

The Effects of Focusing on Problem-Solving Model Combined with Psychological Counseling on the Mental Health and Postoperative Rehabilitation in Patients with Femoral Fractures

目的探讨聚焦解决模式结合心理疏导对股骨骨折患者心理健康与术后康复效果的影响。方法纳入2020年1月至2022年12月福建省邵武市立医院骨科194例股骨骨折患者,随机分为两组,每组97例。实验组以聚焦解决模式联合心理疏导进行护理干预;对照组予以患者常规护理干预。以焦虑自评量表(SAS)和抑郁自评量表(SDS)评价两组焦虑抑郁情绪,比较观察两组术后恢复指标、并发症发生情况与髋关节功能,评价康复效果。结果实验组干预后SAS评分(43.25±6.36)分、SDS评分(40.83±6.94)分,均低于对照组(均P<0.05)。实验组术后排气时间(0.94±0.25)d、排便时间(3.24±0.55)d、首次下床活动时间(4.12±0.54)d均早于对照组,出院时间(12.26±0.93)d短于对照组(均P<0.05),并发症发生率1.03%,低于对照组(P<0.05)。术后随访6个月,实验组髋关节功能优良率90.72%,高于对照组(P<0.05)。结论聚焦解决模式联合心理疏导应用于股骨骨折手术患者,相比常规护理,可以更有效地改善患者情绪状态,改善髋关节功能,减少并发症,促进患者术后早期康复。

Objective To explore the effects of focusing on problem-solving mode combined with psychological counseling on the psychological health and postoperative rehabilitation effects of patients with femoral fractures.Methods A total of 194 patients with femoral fracture in the Department of Orthopedics of Shaowu Municipal Hospital,Fujian Province from January 2020 to December 2022 were included and randomly divided into two groups with 97 patients in each group.The experimental group was treated with focused solution mode combined with psychological counseling.The control group was given routine nursing intervention.Self-rating Anxiety Scale(SAS)and self-rating Depression Scale(SDS)were used to evaluate the anxiety and depression of the two groups,and the postoperative recovery indexes,complications and hip function of the two groups were compared to evaluate the rehabilitation effect.Results After intervention,SAS scores(43.25±6.36)and SDS scores(40.83±6.94)in the experimental group were lower than those in the control group(P<0.05).The postoperative exhaust time(0.94±0.25)d,defecation time(3.24±0.55)d and first time of getting out of bed(4.12±0.54)d were all earlier in the experimental group than in the control group,and the discharge time(12.26±0.93)d was shorter than that in the control group(all P<0.05).The incidence of complications was 1.03%.It was lower than control group(P<0.05).After 6 months of follow-up,the hip function of the experimental group was 90.72%higher than that of the control group(P<0.05).Conclusions The application of focused solution mode combined with psychological counseling in patients with femoral fracture surgery can more effectively improve the emotional state of patients,improve hip function,reduce complications,and promote early postoperative recovery of patients compared with conventional nursing.